ATI Capstone Fundamentals
Which can cause a low pulse ox reading?
- Inadequate peripheral circulation
A nurse is admitting a client who has tb and a productive cough. What types of isolation
precautions should the nurse initiate for the client?
- Airborne
(measles, chicken pox, herpes zoster, tb)
tb requires negative pressure room, and staff need to wear n95
A charge nurse discovers that a nurse did not notify the provider that a client's condition
had changed. The charge nurse should identify that the nurse is accountable for which of
the following torts?
- Negligence
A nurse is completing an admission assessment for a client who has hearing loss, what
action should the nurse take?
- Use written communication to assist with communication
A nurse is caring for a client who has dementia and frequently tries to get out of bed,
which of the following actions should the nurse take? (SATA)
- Turn on the bed alarm
- maintain the bed in the lowest position
- encourage the family to stay with the pt
, A nurse is preparing a client for transfer to another unit? Which finding does the nurse
include in the transfer report?
- Response to pain medication
- review of ongoing discharge plan
- recent physical changes
A nurse in a provider’s office is assessing the motor skill development of a 15-month-old
toddler during a well-child visit, what gross motor skills should the nurse expect?
- Walks without assistance using a wide stance
A nurse is admitting a client who has recently developed fever, confusion, and a
decreased level of consciousness. Which of the following actions should the nurse take
first after obtaining the client's history and assessment?
- Identify the client's needs
A nurse is planning a community education program about colorectal cancer. Which of
the following risk factors should the nurse identify as modifiable?
- Smoking
- alcohol consumption
- high-fat diet
A nurse manager is providing staff education on the correct use of restraints. What
should be included in this education?
- Restraints are a last resort
NY and NS status should be assessed every 2h
use the least restrictive intervention possible and never let it interfere with
treatment
thorough and timely documentation need to be completed when restraints
are applied
Which can cause a low pulse ox reading?
- Inadequate peripheral circulation
A nurse is admitting a client who has tb and a productive cough. What types of isolation
precautions should the nurse initiate for the client?
- Airborne
(measles, chicken pox, herpes zoster, tb)
tb requires negative pressure room, and staff need to wear n95
A charge nurse discovers that a nurse did not notify the provider that a client's condition
had changed. The charge nurse should identify that the nurse is accountable for which of
the following torts?
- Negligence
A nurse is completing an admission assessment for a client who has hearing loss, what
action should the nurse take?
- Use written communication to assist with communication
A nurse is caring for a client who has dementia and frequently tries to get out of bed,
which of the following actions should the nurse take? (SATA)
- Turn on the bed alarm
- maintain the bed in the lowest position
- encourage the family to stay with the pt
, A nurse is preparing a client for transfer to another unit? Which finding does the nurse
include in the transfer report?
- Response to pain medication
- review of ongoing discharge plan
- recent physical changes
A nurse in a provider’s office is assessing the motor skill development of a 15-month-old
toddler during a well-child visit, what gross motor skills should the nurse expect?
- Walks without assistance using a wide stance
A nurse is admitting a client who has recently developed fever, confusion, and a
decreased level of consciousness. Which of the following actions should the nurse take
first after obtaining the client's history and assessment?
- Identify the client's needs
A nurse is planning a community education program about colorectal cancer. Which of
the following risk factors should the nurse identify as modifiable?
- Smoking
- alcohol consumption
- high-fat diet
A nurse manager is providing staff education on the correct use of restraints. What
should be included in this education?
- Restraints are a last resort
NY and NS status should be assessed every 2h
use the least restrictive intervention possible and never let it interfere with
treatment
thorough and timely documentation need to be completed when restraints
are applied
